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1720433535
LISA PEDEVILLANO
PHILADELPHIA, PA
NPI
1720433535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: PA OS023186)
Enumeration Date
2016-04-29
Last Update Date
2023-10-31
Business Address
Dr. LISA PEDEVILLANO DO
9501 ROOSEVELT BLVD STE 312
PHILADELPHIA, PA 19114-1028
Phone number: 215-331-7001
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Mailing Address
Dr. LISA PEDEVILLANO DO
1430 W SHERMAN AVE
VINELAND, NJ 08360-6927
Phone number: 845-797-5195
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